Udermann Brian E, Cavanaugh Daniel G, Gibson Mark H, Doberstein Scott T, Mayer John M, Murray Steven R
* University of Wisconsin–La Crosse, La Crosse, WI.
J Athl Train. 2005 Jun;40(2):120-122.
Objective: To present the unique case of a collegiate swimmer who experienced nearly 9 months of unresolved rib pain.Background: A 20-year-old collegiate swimmer was jumping up and down, warming up before a race, when she experienced pain in the area of her left lower rib cage. She completed the event and 2 additional events that day with moderate discomfort. The athlete was evaluated by a certified athletic trainer 3 days postinjury and followed up over the next 9 months with the team physician, a chiropractor, a nonsurgical sports medicine physician, and a thoracic surgeon.Differential Diagnosis: Intercostal strain, oblique strain, fractured rib, somatic dysfunction, hepatosplenic conditions, pleuritic chest pain, slipping rib syndrome.Treatment: The athlete underwent 4 months of conservative treatment (eg, activity modification, ice, ultrasound, hot packs, nonsteroidal anti-inflammatory drugs) after the injury, independently sought chiropractic intervention (12 treatments) 4 to 6 months postinjury, was referred to physical therapy (10 visits) by a nonsurgical sports medicine physician 6 to 8 months postinjury, and finally underwent surgical intervention 9 months after the onset of the initial symptoms.Uniqueness: Slipping rib syndrome was first described in 1919. However, many health care professionals who are involved with diagnosing and treating athletes and active individuals (eg, athletic trainers, physicians) are relatively unfamiliar with this musculoskeletal condition.Conclusions: It is important for clinicians and team physicians to familiarize themselves with and consider the diagnosis of slipping rib syndrome when assessing and managing individuals with persistent abdominal and/or thoracic pain.
介绍一名大学游泳运动员经历近9个月未愈肋骨疼痛的独特病例。
一名20岁的大学游泳运动员在比赛前上下跳动热身时，左下肋骨区域出现疼痛。她完成了当天的比赛以及另外两项赛事，伴有中度不适。受伤3天后，一名认证运动训练师对该运动员进行了评估，并在接下来的9个月里由队医、脊椎按摩师、非手术运动医学医生和胸外科医生进行随访。
肋间肌拉伤、斜肌拉伤、肋骨骨折、躯体功能障碍、肝脾疾病、胸膜炎性胸痛、肋滑综合征。
受伤后，该运动员接受了4个月的保守治疗（如调整活动、冰敷、超声、热敷、非甾体抗炎药），受伤4至6个月后自行寻求脊椎按摩治疗（12次），受伤6至8个月时由非手术运动医学医生转介至物理治疗（10次），最终在初始症状出现9个月后接受了手术干预。
肋滑综合征于1919年首次被描述。然而，许多参与诊断和治疗运动员及活跃个体的医疗保健专业人员（如运动训练师、医生）对这种肌肉骨骼疾病相对不熟悉。
对于临床医生和队医来说，在评估和管理持续腹部和/或胸部疼痛的个体时，熟悉并考虑肋滑综合征的诊断非常重要。
